Spinal angiolipoma: etiology, imaging findings, classification, treatment, and prognosis

Eur Spine J. 2014 Feb;23(2):417-25. doi: 10.1007/s00586-013-3073-1. Epub 2013 Nov 5.

Abstract

Purpose: To summarise our experience treating patients with spinal angiolipomas (SAs) and to evaluate factors relating to its prognosis.

Methods: We retrospectively reviewed the records of patients diagnosed with SAs who received surgical treatment from January 2001 to February 2013.

Results: Twenty-one patients were described. We divide SAs into two types: "intraspinal" and "dumbbell-shaped". The former were further subclassified as "with lipomatosis" and "without lipomatosis". Overweight people are more likely to get the "with lipomatosis" type which needs different surgical strategy and/or a diet therapy to get better outcomes.

Conclusion: Diagnosis of SAs should be made with reference to clinical, radiological, and pathological findings. Application of different methods is needed to treat SAs.

MeSH terms

  • Adult
  • Aged
  • Angiolipoma / classification
  • Angiolipoma / diagnosis*
  • Angiolipoma / pathology
  • Angiolipoma / surgery*
  • Female
  • Humans
  • Lipomatosis / classification
  • Lipomatosis / diagnosis
  • Lipomatosis / surgery
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Spinal Neoplasms / classification
  • Spinal Neoplasms / diagnosis*
  • Spinal Neoplasms / pathology
  • Spinal Neoplasms / surgery*
  • Young Adult